Child Health Nursing Past Paper PDF - Maharashtra Nursing Council, December 2022

# MAHARASHTRA NURSING COUNCIL, MUMBAI ## GNM SECOND YEAR - DECEMBER 2022 ### CHILD HEALTH NURSING **Time: 11 to 2 Pm** **Total Marks: 75** 1. **(a) Select the most appropriate answers from the following:** | Question | Answer | |---|---| | Deficiency of protein causes......

# MAHARASHTRA NURSING COUNCIL, MUMBAI ## GNM SECOND YEAR - DECEMBER 2022 ### CHILD HEALTH NURSING **Time: 11 to 2 Pm** **Total Marks: 75** 1. **(a) Select the most appropriate answers from the following:** | Question | Answer | |---|---| | Deficiency of protein causes...... | (c) Kwashiorkor | | Birth weight double at the age of... months | (b) 5th months | | Active Bronchitis is caused by..infection | (d) Bacterial | | Bitot's Spot is treated with.. | (d) Vitamin A | | is killed vaccine | (d) B.C.G. | 2. **(b) Match the following:** | A Section | B Section | |---|---| | Haemoglobin | Water Soluble Vitamin | | Infant | 14 November | | Vitamin A | Palmar Grasp | | Children Day | Anaemia | | Cynocobalmin | Blindness | 3. **(c) State true or false:** | Statement | True or False | |---|---| | Hyperproteinemia is seen in nephritic syndrome | False | | Tuberculosis is communicable disease | True | | Vitamin D is essential for growth of bones | True | | Large head is also known as mocrocephalic | False | | D.O.T. Treatment is given in polimyelitis | False | 4. **(a) Define the following (any five):** | Term | Definition | |---|---| | Vaccine | A biological preparation that provides active acquired immunity to a particular disease. | | Hydrocephalus | A condition in which there is an abnormal accumulation of cerebrospinal fluid (CSF) in the ventricles of the brain. | | Hypothermia | A condition in which the body temperature falls below 95°F (35°C) | | Lumbar puncture | A procedure used to collect cerebrospinal fluid (CSF) for diagnostic testing. | | Bronchiectasis | A chronic lung condition that causes the airways to widen and become damaged. | | Malnutrition | A condition that occurs when the body does not get the nutrients it needs to function properly. | 5. **(b) Write short notes on (any four):** | Topic | Notes | |---|---| | Weaning diet | The process of gradually introducing solid foods to a baby after breastfeeding or formula feeding, usually around 6 months of age. | | Changes in adolescents | The period of physical, emotional, and social development between childhood and adulthood, typically ages 12-18. | | Advantages of breast feeding | Provides numerous benefits to both the infant and the mother. Benefits to infants include optimal nutrition, protection from infections, and improved cognitive development. Benefits to mothers include faster uterine involution, lower risk of postpartum depression, and reduced risk of certain chronic conditions. | | Mid-day meal program | A school meal program which provides free hot, nutritious meals to students of primary and upper primary classes in government schools to improve attendance, health, and academic performance. | | Nursing management of child with HIV/AIDS | Complex and requires a multifaceted approach to provide comprehensive care and support for the child and their family. | 6. **(c) 6 year Master Vinay is admitted in paediatric ward with diarrhoeal episode. Answer the following questions:** | Question | Answer | |---|---| | Define diarrhoea | Diarrhea is a condition characterized by frequent passage of loose, watery stools. It is a common symptom of various intestinal disorders and can be caused by infections, food poisoning, or certain medical conditions. | | Write sign and symptoms of diarrhoea | Symptoms may include abdominal cramps, pain, nausea, vomiting, fever, dehydration, and bloody or mucus stools. | | Write nursing management of Master Vinay | Includes monitoring vital signs, providing hydration, managing pain, and addressing underlying causes. | | What Health education you will give to Master Vinay's parents to prevent further diarrhoeal episode? | Emphsize proper hand hygiene, safe food handling practices, and seeking medical attention promptly. | 7. **(d) Answer the following questions:** | Question | Answer | |---|---| | Write the types of neural tube defect | Occurs when the neural tube does not close properly during pregnancy. Common types include anencephaly, encephalocele, and spina bifida. | | Write the behavioural problems in children | May include aggression, hyperactivity, inattention, withdrawal, anxiety, and depression. | | Write medical and nursing management of pneumonia | Consists of administering antibiotics, providing supportive care such as oxygen therapy, and managing potential complications. | 8. **(e) Sarika 3 years old admitted in paediatric ward diagnosed as thalassearmia. Answer the following questions:** | Question | Answer | |---|---| | Write the Classification of thalassemia | Thalassemia is classified based on the severity of the condition and the affected globin chain. | | Write the signs and symptoms of thalassemia major | Symptoms may include pallor, fatigue, shortness of breath, growth retardation, splenomegaly, and jaundice. | | Write the medical and nursing management for Sarika | Treatment typically focuses on managing symptoms, preventing complications, and improving quality of life. This may involve transfusions, iron chelation therapy, and genetic counseling. | | Write the preventive measures for thelassemia | There is no cure for thalassemia, but genetic counseling and prenatal testing can help identify couples at risk of having a child with thalassemia. Carrier screening can also identify individuals who are carriers of the thalassemia gene. |